MEDICARE: MEDINEEDS SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1386524635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDINEEDS SERVICES LLC

Provider Business Mailing Address
First Line	:	11429 DUNLORING PL
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-5758
Country	:	US
Telephone Number	:	703-972-5004
Fax Number	:	703-995-4846

Provider Business Practice Location Address
First Line	:	11429 DUNLORING PL
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-5758
Country	:	US
Telephone Number	:	703-972-5004
Fax Number	:	703-995-4846

Authorized Official
Title or Position	:	OWNER
Name	:	OLAMIDOTUN OMOLOSO
Credential	:
Telephone Number	:	240-755-3272

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	03/31/2026

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